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Performance monitoring, error processing, and evaluative control following severe TBI

Published online by Cambridge University Press:  18 October 2007

MICHAEL J. LARSON ,
DAVID A.S. KAUFMAN ,
ILONA M. SCHMALFUSS  and
WILLIAM M. PERLSTEIN
MICHAEL J. LARSON
Affiliation:
Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida
DAVID A.S. KAUFMAN
Affiliation:
Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida
ILONA M. SCHMALFUSS
Affiliation:
North Florida/South Georgia Veterans Administration Hospital, Gainesville, Florida Department of Medicine, University of Florida, Gainesville, Florida
WILLIAM M. PERLSTEIN
Affiliation:
Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida Department of Psychiatry, University of Florida, Gainesville, Florida The McKnight Brain Institute, University of Florida, Gainesville, Florida
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Abstract

Patients with severe traumatic brain injury (TBI) often demonstrate impairments in performance monitoring—an evaluative control process that can be measured using the error-negativity/error-related negativity (Ne/ERN) and post-error positivity (Pe). The Ne/ERN and Pe are event-related potential (ERP) components generated following errors, with current theories suggesting the Ne/ERN reflects automatic performance monitoring and the Pe reflects error processing and awareness. To elucidate the electrophysiological mechanisms of performance monitoring deficits following severe TBI, behavioral and ERP measurements were obtained, whereas participants with severe TBI and neurologically-healthy comparison participants performed a modified color-naming version of the Stroop task. Behaviorally, both groups demonstrated robust response-time (RT) and error-rate interference. Participants with TBI exhibited generalized RT slowing; no significant between-groups interactions were present for RTs or error rates. ERP results indicate Ne/ERN amplitude was attenuated in participants with TBI, whereas the pattern of Pe amplitude did not clearly differentiate groups. Findings suggest the Ne/ERN as a potential electrophysiological marker of evaluative control/performance monitoring impairment following TBI. Implications for future research and potential clinical application as well as potential limitations in conducting electrophysiological research in neurologically-impaired populations are discussed. (JINS, 2007, 13, 961–971.)

Keywords

Traumatic brain injuryEvent-related potentialsError-related negativityStroopCognitive controlError monitoring
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 13 , Issue 6 , November 2007 , pp. 961 - 971
Copyright
© 2007 The International Neuropsychological Society

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